KELAS 2A Kelompok 2

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KELAS 2A

Kelompok 2 :

1. Ayu Dewi Vortuna

2. Dwi Rizky Maulana

3. Inda Wulandari

4. Imam Fahriz Pujiansyah

5. Jhon Kenedi

6. Novia Handayani

7. Putri Widiana

8. Rika Sri Winarsih

9. Lailatul Qadariah

10. Rival Akbar

11. Santo

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Health care information exchange

Definition: providing patient care information to health professionals in other agencies

Activities:

Identify referring nurse and location

Identify essential demographic data

Describe pertinent past healthhistory

Identify current medical and nursing diagnoses

Identify resolved nursing and medical diagnoses, as appropriate

Describe nursing interventions beiag implemented

Summarize progress of patient toward goals

Describe medical treatment regimen, including diet, medications, and exercise

Identify equipment and supplies necessary for care

Identify anticipated discharge date

Identify planned return appointment for follow-up care

Describe role of family in continuing care

Identify capabilities of patient and family in implementing care after discharge

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307 Kesehatan Pertukaran Informasi

Kesehatan Pertukaran Informasi 7960

DEFINISI: Memberikan informasi perawatan pasien untuk profesional kesehatan di instansi lain

KEGIATAN:

Mengidentifikasi rujukan perawat dan lokasi

Mengidentifikasi data demografis yang penting

Jelaskan riwayat kesehatan masa lalu yang bersangkutan

Mengidentifikasi diagnosa medis dan keperawatan saat ini

Mengidentifikasi keperawatan yang sudah diselesaikan dan diagnosa medis, yang sesuai

Jelaskan intervensi keperawatan yang di laksanakan

Meringkas kemajuan pasien menuju tujuan

Jelaskan resimen pengobatan medis, termasuk diet, obat-obatan, dan olahraga

Mengidentifikasi peralatan dan perlengkapan yang diperlukan untuk perawatan

Mengidentifikasi tanggal debit diantisipasi

Mengidentifikasi perencanaan janji pulang untuk perawatan tindak lanjut

Jelaskan peran keluarga dalam perawatan berkelanjutan

Mengidentifikasi kemampuan pasien dan keluarga dalam melaksanakan perawatan setelah debit

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BACAAN LATAR BELAKANG:

Kron,T.,&Gray,A. (1987). The management of patient care. Putting leadership skills to work (6th_{ed.). Philadephia: W.B Saunders.}

Little. D.E., & Carnevali, D.L. (1983). Nursing care planning (3rd_{ed.). Philadelphia: J.B.}

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seizure management

definition: care of a patient during a seizure and the postictal state

activities:

guide movements to prevent injury

monitor direction of head and eyes during seizure

loosen clothing

remain with patient during seizure

maintain airway

establish IV access, as appropriate

apply oxygen, as appropriate

monitor vital signs

reorient after seizure

record seizure characteristics: body parts involved, motor activity and seizureprogression

document information about seizure

administer medication, as appropriate

administer anticonvulsants, as appropriate

monitor antiepileptic drug levels, as appropriate

monitor postical period duration and characteristics

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484 Manajemen Kejang

Manajemen Kejang 2680

DEFINISI: perawatan pasien selama kejang dan negara postictal

KEGIATAN:

Panduan gerakan untuk mencegah cedera

Memonitor arah kepala dan mata selama kejang

Melonggarkan pakaian

Tetap dengan pasien selama kejang

Mempertahankan jalan napas

Membangun akses IV, yang sesuai

Berlaku oksigen, yang sesuai

Memonitor tanda-tanda vital

Reorientasi setelah kejang

Mencatat karakteristik kejang: bagian tubuh yang terlibat, aktivitas motorik dan perkembangan kejang

Mendokumentasikan informasi tentang kejang

Mengelola obat, yang sesuai

Mengelola antikonvulsan, yang sesuai

Memonitor kadar obat antiepilepsi, yang sesuai

Memonitor durasi periode postictal dan karakteristik

Ackerman, L.L. (1992). Interventions related to neurological care. In G.M. Bulechek & J.C.

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Brewer, K., & Sperling. M.R. (1988). Neurosurgical treatment of intractable epilepsy. Journal of

Neuroscience Nursing, 20(6), 366-372.

Cammermeyer, M., & Appledorn, C. (1990). Core curriculurm for neuroscience nursing

(3rd_{ed.) (pp. lgl-lg3. Chicago: American Association of Neuroscience Nurses.}

Graham,O., Navea,I.,&Cummings,C. (1989).A model for ambulantory care of patients with

epilepsy and other neurological disorders. Journal of Neuroscience Nursing, 21(2), 108-112.

Johanson,B.C., Wells,S.J., Hoffmeister,D.,&Dungca,C.U.(1988).Standards for critical care (3rd_{ed.). St. Louis: Mosby.}

Santilli, N., & Sierzant, T.L. (1987). Advances in the treatment of epilepsy. Journal of Neurescience Nursing, 19(3), 141-155.

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Definition: prevention of wound complications and promotion of wound healing

Activities:

Remove adhesive tape and debris

Shave the hairsurrounding the affected are, as needed

Note characteristics of the wound

Note characteristics of any drainage

Clean with antibacterial soap, as appropriate

Place affected area in a whirlpool bath, as appropriate

Soak in saline solution, as appropriate

Administer IV site care, as appropriate

Administer hickman line care, as appropriate

Administer central venous line site care, as appropriate

Provide incision site care, as needed

Administer skin ulcer care, as needed

Massage the area around the wound to stimulate circulation

Apply TENS (transcutaneous electrical nerve stimulation) unit for wound healing enhancement, as appropriate

Maintain patency of any drainage tubes

Apply an appropriate ointment to the skin / lesion, as appropriate

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Apply an occlusive dressing, as appropriate

Reinforce the dressing, as needed

Dress with appropriate mes gauze, as needed

Maintain sterile dressing technique when doing wound care

Inspect the wound with each dressing change

Compare and record regulary any changes in the wound

Position to avoid placing tension on the wound, as appropriate

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599 Perawatan Luka

Perawatan Luka 3660

DEFINISI: Pencegahan komplikasi luka dan promosi penyembuhan luka

KEGIATAN:

Lepaskan pita perekat dan puing-puing

Mencukur rambut sekitar area yang terkena dampak, yang diperlukan

Catatan karakteristik luka

Catatan karakteristik drainase setiap

Bersihkan dengan sabun antibakteri yang sesuai

Tempatkan daerah yang terkena dalam pusaran air mandi, yang sesuai

Rendam dalam larutan garam, yang sesuai

Mengelola IV perawatan situs, yang sesuai

Mengelola perawatan garis hickman, yang sesuai

Mengelola garis perawatan situs vena sentral, yang sesuai

Memberikan sayatan perawatan situs, yang diperlukan

Mengelola perawatan ulkus kulit, yang diperlukan

Pijat daerah sekitar luka untuk merangsang sirkulasi

Terapkan TENS (stimulasi saraf transkutan listrik) Unit untuk luka peningkatan penyembuhan, yang sesuai

Pertahankan kepatenan setiap tabung drainase

Terapkan salep yang sesuai dengan kulit / lesi, yang sesuai perban

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Memperkuat balutan yang diperlukan

Meyediakan pakaian yang tipis jika diperlukan

Mempertahankan teknik sterilisasi ketika melakukan perawatan luka

Memeriksa luka dengan setiap pergantiaan balutan

Bandingkan dan merekam regulary perubahan pada luka

Posisikan untuk menghindari menempatkan ketegangan pada luka, yang sesuai

Ajarkan anggota pasien atau keluarga untuk prosedur perawatan luka

Cooper,D.M. (1990). Optimizing wound healing: A practice within nursing’s domain. Nursing Clinics of North America, 25(1), 165-180

Garvin,G.(1990). Wound healing in pediatrics. Nursing Clinics of North America,25(1),181-192.

Jones,PL.,&Millman,A. (1990). Wound healing and the aged patient. Nusing Clinics of

America, 25(1), 263-278

Kozier, B., & Erb , G (1989). Techniques in clinical nursing (3rd_{ed). Menlo Park, CA:}

Addison-Wesley.

Perry,A.G., & Potter,P.A. (1990). Clinical nursing skills and techniques. St. Louis: Mosby.